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For 2 months, a 29-year-old man had pain and circular, soft swelling over the anterior left knee, superficial to the patellar ligament. Pain was minimal and associated with extension and flexion. He had been employed laying floor tile for 10 years.

Synovitis predates and is associated with the development of radiographic osteoarthritis, new findings suggest. Treating synovitis in knee OA may help reduce disease progression and relieve symptoms. Details here.

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When is it time to refer your patient with low back pain to a specialist for possible spine surgery? How long should you give conservative measures a try? What symptoms signal the need for urgent care? In this video, Raymond Haroun, MD addresses these and other pressing questions.

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Do you have a good teaching case with an accompanying clinical photograph (or 2)? We are inviting fresh new cases on any aspect of primary care. We offer a $75 honorarium for accepted cases. More details on submission, here.